JORDAN CARVER RUSSELL

SCHERTZ, TX
NPI1063137313
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: TX  1362087)
Enumeration Date2022-10-10
Last Update Date2022-10-10
Business Address
JORDAN CARVER RUSSELL
17323 INTERSTATE 35 N STE 107
SCHERTZ, TX 78154-1278
Phone number: 210-659-4333
Mailing Address
JORDAN CARVER RUSSELL
9003 QUAKER RDG
SELMA, TX 78154-1330
Phone number:
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